骨脊保存術施作考量之文獻回顧

Clinical Concept for Ridge Preservation Procedures: A Literature Review

張雁婷(Yen-Ting Chang) ； 鄭琬蒨(Wan-Chien Cheng) ； 陳穎吾(Ying-Wu Chen) ； 宋承恩(Cheng-En Sung) ； 江正陽(Cheng-Yang Chiang) ； 黃仁勇(Ren-Yeong Huang)

《臺灣牙周病醫學會雜誌》 24卷2期 (2019/12) Pp. 92-101

https://doi.org/10.6121/TAP.201912_242.0003

摘要

骨脊型態在拔牙後會發生改變，剩餘骨體積常無法提供植牙，依良好的贗復位置放置，了解拔牙槽骨脊解剖及組織學上的變化，以應用骨脊保存術重建骨脊，並針對骨質及骨量等考量，選擇利用不同的移植材料，達到臨床上多樣目的。本篇藉以探討骨脊保存術之施作目的、適應症、施作考量項目等，臨床上提供適當術式選擇的參考，包含評估骨脊型態，翻瓣與傷口閉合考量，分析骨粉種類成效及再生膜放置的效益等項目後，以期完成適當的治療計畫，重建良好的植牙美觀及功能。

關鍵字

拔牙齒槽 ； 骨脊保存術 ； 槽保存術

並列摘要

Healing event of the extraction socket after tooth removal results in loss of height and width. During the first three months following extraction that loss has been shown to be significant and may result in tissue deformity affecting the ability to restore the site with prosthetically driven position implant. Ridge preservation procedures that reduce the resorptive process have been shown to be predictably capable of eliminating secondary surgery for planned implant therapy. Several techniques have been employed as ridge preservation procedures involving the use of different bone grafts, barrier membranes to provide various outcome. This review will explore the evidence behind each surgical technique (flapless versus flapped) and the efficacy of different grafting materials in improving the quantity of available bone.

並列關鍵字

extraction socket ； ridge ； preservation ； socket preservation